Individual
MS. MARISSA HINICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
11904 W NORTH AVE, SUITE 100, WAUWATOSA, WI 53226-2062
(414) 453-8616
(414) 453-6150
Mailing address
11904 W NORTH AVE, SUITE 100, WAUWATOSA, WI 53226-2062
(414) 453-8616
(414) 453-6150
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1682-19
WI
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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